GENERAL ANXIETY DISORDER AND ADULT ATTATCHMENT

很少有研究考察泛化的发展前兆 焦虑症(GAD)。这项工作将有助于预防和控制艾滋病。 治疗广泛性焦虑症，理论家最近呼吁增加 注意这一领域(参见Rapee，1991)。 本研究的目的是开始了解儿童的发展状况。 广泛性阿尔茨海默病患者的病史。鲍尔比附件(1969/82年，1973年) 理论是考察这一问题的理论框架。 对36例广泛性AD患者治疗前的依恋质量进行比较 并与36名无焦虑、无抑郁的对照组进行比较。盖德会成为 基于两个独立修订的焦虑症的诊断 面试时间表(ADIS-R)由训练有素的人员进行面试 临床医生。GAD和对照受试者的年龄、性别、 种族和教育。成人将对附件进行评估 依恋访谈(George，Kaplan，&Main，1985)。这是半结构化的 采访产生了关于可能的童年经历的信息，如 以及“关于依恋的当前心理状态”。它是 假设GAD受试者将更频繁地被归类 不安全/全神贯注，而不是控制对象。为了检查 依恋和GAD之间的关系出现的可能性是因为 广泛性焦虑症受试者目前的焦虑情绪、对这些受试者的依恋 将与36名康复的GAD受试者进行比较。它是 假设两个GAD组在依恋上不会有差异。在……里面 以检查高度的不安全感是否是#年GAD所特有的 具体来说，与一般的精神病理学相反，我们将包括一个 对照组为36例抑郁症、非广泛性痴呆受试者。我们预计， 这些受试者的依恋(主要是不安全/解雇)将不同于 GAD受试者的数据。我们还将研究可能的调解人 附件和GAD之间的联系。为了进一步了解 GAD和依恋之间的联系，依恋相关的差异 将审查GAD小组内焦虑的性质和程度。它 假设缺乏安全感的GAD受试者会比Will更焦虑 保护GAD目标。最后，因为高度焦虑也可能 阻碍未被归类为GAD的人的功能，依恋- 彼此在焦虑的性质和程度上的相关差异 将对小组进行检查。

Little research has examined the developmental precursors of Generalized Anxiety Disorder (GAD). Such work will be useful in prevention and treatment of GAD, and theorists have recently called for increased attention to this area (cf. Rapee, 1991). The goal of the present study is to begin to understand the developmental antecedents of individuals with GAD. Bowlby's (1969/82, l973) attachment theory is the theoretical framework within which this issue is examined. The attachment quality of 36 pre-therapy GAD subjects will be compared with that of 36 nonanxious, nondepressed control subjects. GAD will be diagnosed on the basis of two independent Revised Anxiety Disorder Interview Schedule (ADIS-R) interviews conducted by highly trained clinicians. GAD and control subjects will be matched for age, gender, race, and education. Attachment will be assessed with the Adult Attachment Interview (George, Kaplan, & Main, 1985). This semi-structured interview yields information both about probable childhood experiences as well as about "current state of mind with regard to attachment." It is hypothesized that GAD subjects will be more often classified insecure/preoccupied than will control subjects. In order to examine the possibility that a relation between attachment and GAD emerges because of the current anxious mood of GAD subjects, the attachment of those subjects will be compared with that of a group of 36 recovered GAD subjects. It is hypothesized than the two GAD groups will not differ on attachment. In order to examine whether heightened insecurity is specific to GAD in particular, as opposed to psychopathology in general, we will include a comparison group of 36 depressed, non-GAD subjects. We expect that the attachment of these subjects (mostly insecure/dismissing) will differ from that of the GAD subjects. We will also examine possible mediators of the connection between attachment and GAD. To further understand the associations between GAD and attachment, attachment-related differences in the nature and extent of anxiety within the GAD group will be examined. It is hypothesized that insecure GAD subjects will be more anxious than will secure GAD subjects. Finally, because high levels of anxiety can also hinder functioning in people not classified as having GAD, attachment- related differences in the nature and extent of anxiety within the other groups will be examined.